US9320598B2 - Method of implanting a self-expandable prosthetic heart valve - Google Patents
Method of implanting a self-expandable prosthetic heart valve Download PDFInfo
- Publication number
- US9320598B2 US9320598B2 US13/648,119 US201213648119A US9320598B2 US 9320598 B2 US9320598 B2 US 9320598B2 US 201213648119 A US201213648119 A US 201213648119A US 9320598 B2 US9320598 B2 US 9320598B2
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- US
- United States
- Prior art keywords
- heart valve
- prosthetic heart
- valve
- cusp
- regions
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Images
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2427—Devices for manipulating or deploying heart valves during implantation
- A61F2/243—Deployment by mechanical expansion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2412—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body with soft flexible valve members, e.g. tissue valves shaped like natural valves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2412—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body with soft flexible valve members, e.g. tissue valves shaped like natural valves
- A61F2/2418—Scaffolds therefor, e.g. support stents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2427—Devices for manipulating or deploying heart valves during implantation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2427—Devices for manipulating or deploying heart valves during implantation
- A61F2/2436—Deployment by retracting a sheath
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
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- A—HUMAN NECESSITIES
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/9522—Means for mounting a stent or stent-graft onto or into a placement instrument
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- A61F2002/9522—
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0008—Fixation appliances for connecting prostheses to the body
- A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes
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- A—HUMAN NECESSITIES
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- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/0066—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements stapled
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- A—HUMAN NECESSITIES
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- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/0075—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
Abstract
Description
-
- a continuous, collapsible leaflet frame having three U-shaped cusp regions intermediate three U-shaped commissure regions, the three cusp regions being positioned at an inflow end of the leaflet frame and circumferentially about a flow axis defined within the leaflet frame, the three commissure regions being positioned at an outflow end of the leaflet frame and circumferentially about the flow axis;
- a cloth covering extending around the leaflet frame; and
- three separate, flexible leaflets attached to the leaflet frame, each leaflet having an arcuate cusp edge opposite a free edge and a pair of commissure edges therebetween, the leaflets being attached around the leaflet frame with the cusp edge of each leaflet extending along one of the cusp regions, and a commissure edge of each leaflet meeting a commissure edge of an adjacent leaflet at one of the commissure regions, the commissure edges of each leaflet further including a tab, wherein the tabs of two adjacent leaflets extend through the U-shape commissure region, diverge on the outside of commissure region, and are attached to the leaflet frame on the outside of the commissure region.
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- collapsing the prosthetic heart valve within a delivery tube;
- advancing the prosthetic heart valve within the delivery tube to an aortic annulus;
- expelling the prosthetic heart valve from the delivery tube by relative movement therebetween;
- expanding the prosthetic heart valve by the steps of permitting self-expansion and assisting further expansion; and
- positioning the prosthetic heart valve such that the cusp positioners contact the two coronary and one non-coronary sinuses of the ascending aorta without blocking the coronary ostia.
Claims (24)
Priority Applications (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13/648,119 US9320598B2 (en) | 2003-03-18 | 2012-10-09 | Method of implanting a self-expandable prosthetic heart valve |
US15/138,115 US9724193B2 (en) | 2003-03-18 | 2016-04-25 | Self-expandable heart valve with stabilizers |
US15/641,991 US10299925B2 (en) | 2003-03-18 | 2017-07-05 | Collapsible prosthetic heart valves |
US15/670,778 US10159567B2 (en) | 2003-03-18 | 2017-08-07 | Prosthetic heart valve with cusp positioners |
US15/832,633 US20180092741A1 (en) | 2003-03-18 | 2017-12-05 | Prosthetic heart valve with cusp positioners |
US16/422,749 US11234815B2 (en) | 2003-03-18 | 2019-05-24 | Minimally-invasive heart valve with cusp positioners |
US17/586,665 US20220151772A1 (en) | 2003-03-18 | 2022-01-27 | Minimally-invasive heart valve with cusp positioners |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/390,951 US7399315B2 (en) | 2003-03-18 | 2003-03-18 | Minimally-invasive heart valve with cusp positioners |
US12/170,341 US8778018B2 (en) | 2003-03-18 | 2008-07-09 | Method of implanting a minimally-invasive heart valve with cusp positioners |
US13/648,119 US9320598B2 (en) | 2003-03-18 | 2012-10-09 | Method of implanting a self-expandable prosthetic heart valve |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US12/170,341 Continuation US8778018B2 (en) | 2003-03-18 | 2008-07-09 | Method of implanting a minimally-invasive heart valve with cusp positioners |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US15/138,115 Continuation US9724193B2 (en) | 2003-03-18 | 2016-04-25 | Self-expandable heart valve with stabilizers |
Publications (2)
Publication Number | Publication Date |
---|---|
US20130096671A1 US20130096671A1 (en) | 2013-04-18 |
US9320598B2 true US9320598B2 (en) | 2016-04-26 |
Family
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Family Applications (11)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/390,951 Expired - Lifetime US7399315B2 (en) | 2003-03-18 | 2003-03-18 | Minimally-invasive heart valve with cusp positioners |
US12/170,341 Active 2026-02-24 US8778018B2 (en) | 2003-03-18 | 2008-07-09 | Method of implanting a minimally-invasive heart valve with cusp positioners |
US13/648,119 Active 2024-07-21 US9320598B2 (en) | 2003-03-18 | 2012-10-09 | Method of implanting a self-expandable prosthetic heart valve |
US13/653,201 Expired - Lifetime US9504567B2 (en) | 2003-03-18 | 2012-10-16 | Minimally-invasive prosthetic heart valve method |
US15/061,895 Expired - Lifetime US9675455B2 (en) | 2003-03-18 | 2016-03-04 | Method of positioning a minimally-invasive heart valve with cusp positioners |
US15/138,115 Expired - Lifetime US9724193B2 (en) | 2003-03-18 | 2016-04-25 | Self-expandable heart valve with stabilizers |
US15/641,991 Expired - Lifetime US10299925B2 (en) | 2003-03-18 | 2017-07-05 | Collapsible prosthetic heart valves |
US15/670,778 Expired - Lifetime US10159567B2 (en) | 2003-03-18 | 2017-08-07 | Prosthetic heart valve with cusp positioners |
US15/832,633 Abandoned US20180092741A1 (en) | 2003-03-18 | 2017-12-05 | Prosthetic heart valve with cusp positioners |
US16/422,749 Expired - Lifetime US11234815B2 (en) | 2003-03-18 | 2019-05-24 | Minimally-invasive heart valve with cusp positioners |
US17/586,665 Abandoned US20220151772A1 (en) | 2003-03-18 | 2022-01-27 | Minimally-invasive heart valve with cusp positioners |
Family Applications Before (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/390,951 Expired - Lifetime US7399315B2 (en) | 2003-03-18 | 2003-03-18 | Minimally-invasive heart valve with cusp positioners |
US12/170,341 Active 2026-02-24 US8778018B2 (en) | 2003-03-18 | 2008-07-09 | Method of implanting a minimally-invasive heart valve with cusp positioners |
Family Applications After (8)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US13/653,201 Expired - Lifetime US9504567B2 (en) | 2003-03-18 | 2012-10-16 | Minimally-invasive prosthetic heart valve method |
US15/061,895 Expired - Lifetime US9675455B2 (en) | 2003-03-18 | 2016-03-04 | Method of positioning a minimally-invasive heart valve with cusp positioners |
US15/138,115 Expired - Lifetime US9724193B2 (en) | 2003-03-18 | 2016-04-25 | Self-expandable heart valve with stabilizers |
US15/641,991 Expired - Lifetime US10299925B2 (en) | 2003-03-18 | 2017-07-05 | Collapsible prosthetic heart valves |
US15/670,778 Expired - Lifetime US10159567B2 (en) | 2003-03-18 | 2017-08-07 | Prosthetic heart valve with cusp positioners |
US15/832,633 Abandoned US20180092741A1 (en) | 2003-03-18 | 2017-12-05 | Prosthetic heart valve with cusp positioners |
US16/422,749 Expired - Lifetime US11234815B2 (en) | 2003-03-18 | 2019-05-24 | Minimally-invasive heart valve with cusp positioners |
US17/586,665 Abandoned US20220151772A1 (en) | 2003-03-18 | 2022-01-27 | Minimally-invasive heart valve with cusp positioners |
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EP (2) | EP1603493B1 (en) |
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